Active NPI
Suparna Shivashankara Sachan, M.D.
- Psychosomatic Medicine Physician
- Murfreesboro, TN
National Provider Identifier
1801236161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 57813
- Practice address
- 3400 Lebanon Rd
Murfreesboro, TN 37129 - Phone
- (615) 867-6000
- NPI assigned
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 57813 | TN | Primary |
Addresses
Primary practice location
3400 Lebanon Rd
Murfreesboro, TN 37129
Mailing address
3400 Lebanon Rd BLDG 9
Murfreesboro, TN 37129-1393
Phone (615) 225-3920
Other practice location 1
221 NE Glen Oak Ave
7 West
Peoria, IL 61636-0001
Phone (309) 672-5522
Other practice location 2
12 Executive Park Dr NE Fl 3
Atlanta, GA 30329-2206
Phone (404) 712-6934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008213 | GA | MD | Chiropractor |
| 57813 | TN | MD | Psychosomatic Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1801236161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LEBANON RD BLDG 9",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291393",
"telephone_number": "615-225-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LEBANON RD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "37129",
"telephone_number": "615-867-6000"
}
],
"practiceLocations": [
{
"address_1": "221 NE Glen Oak Ave",
"address_2": "7 West",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616360001",
"country_code": "US",
"telephone_number": "309-672-5522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 Executive Park Dr NE Fl 3",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303292206",
"country_code": "US",
"telephone_number": "404-712-6934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SACHAN",
"first_name": "SUPARNA",
"middle_name": "SHIVASHANKARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "TN",
"license": "57813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.